Young Men's Christian Association of Austin, Minnesota

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF AUSTIN, MINNESOTA

Practice address

704 1St Dr NW
Austin, MN 55912-3004

Phone

(507) 433-1804

Fax

(507) 433-1806

NPI assigned

Sep 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tedd Maxfield

Title

Executive Director

Phone

(507) 433-1804

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Marie Wagner, MS

  • Health Educator
  • Austin, MN
  • NPI 1992294987
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1659820215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 1ST DR NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123004",
            "telephone_number": "507-433-1804",
            "fax_number": "507-433-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 1ST DR NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123004",
            "telephone_number": "507-433-1804",
            "fax_number": "507-433-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF AUSTIN, MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "MAXFIELD",
        "authorized_official_first_name": "TEDD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-433-1804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Wolf, M.S., LPCC
• Sarah Wolfe, COSMETOLOGIST
• Tonya L Wolter, LPC
• Bosheng Yang, M.D.
• Ashley Yost
• Richard B Young, D.D.S.
• Wendy A Young, PA-C
• Mohammed Yousufuddin, MD
• Charlotte A Yunker, ATR
• Amy Leigh Zahn, LICSW

• Health Educator in Austin, MN
• Providers in Austin, MN by specialty
• Health Educator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.